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JOHANNESBURG — Zimbabwe's entire health system has collapsed and the southern African nation now overwhelmed by cholera will soon see other epidemics, a worsening AIDS crisis and the effects of widespread malnutrition, an international doctors group said Tuesday.

Rates of women who are opting for preventive mastectomies, such as Angeline Jolie, have increased by an estimated 50 percent in recent years, experts say. But many doctors are puzzled because the operation doesn't carry a 100 percent guarantee, it's major surgery -- and women have other options, from a once-a-day pill to careful monitoring.

The Nobel Prize-winning Medecins Sans Frontieres urged both foreign donors and Zimbabwe's government to do more in light of the crisis, saying that "nonsense" like high government fees had made it difficult for international aid agencies to help.

"You've all heard about the disastrous cholera epidemic," said Dr. Christophe Fournier, MSF's international president, who spent four days touring Zimbabwe. "However catastrophic this epidemic is, it is only the most visible manifestation of a much broader crisis in the whole country. Actually the whole public health system in Zimbabwe is down, it has collapsed."

Zimbabwe's cholera epidemic — blamed on collapsed water, sanitation and health services — has killed over 3,600 people and infected 60,000 since August.

There was no immediate comment from the Zimbabwean government to the group's charges.

The next epidemic could be malaria, the group said, because Zimbabwe has been unable to afford preventive measures such as insecticide-treated nets and peak season for malaria is imminent.

1 in 5 has HIV
The AIDS crisis will worsen, because — in a country where one in five adults carries the virus that causes AIDS — people aren't getting medications or health advice.

Zimbabwe has the world's highest inflation rate and faces acute shortages of most goods, but MSF said it has been prevented from doing hunger surveys because the issue is politically sensitive.

But the U.N. says up to 7 million people, more than half the population, are dependent on foreign food handouts, and MSF is concerned about malnutrition.

Zimbabwe's general health collapse has also affected ordinary medical services like prenatal treatment for pregnant women and treatment to ensure that mothers don't pass the AIDS virus on to their children.

Fournier, who has worked on medical emergencies around the world for 20 years, said only in Zimbabwe had he "seen this kind of collapse ... in the absence of any conflict, any war."

"A major emergency infusion (of foreign aid) needs to be given to Zimbabwe and it needs to be given now," Fournier said.

The crisis is blamed on economic collapse linked to mismanagement and corruption under President Robert Mugabe's rule.

Mugabe remains president under a new unity government. Manuel Lopez, head of MSF's Zimbabwe operations, said Tuesday he feared international donors would be reluctant to pour funds into a government headed by Mugabe.

Lopez said it can take six months to get a response from immigration authorities to requests to bring in health care specialists, and visas and work permits cost "an incredible amount."

Importing medicines requires paying the government to test each batch, and the group has seen the cost rise from $50 to $100 per batch for the cholera epidemic.

"The situation has become very critical," Lopez said. "We cannot continue with this nonsense."

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